HomeMy WebLinkAboutPermit Building 2005-9-27
i
.
.~ CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01184
ISSUED: 09/27/2005
APPLIED: 08/30/2005
EXPIRES: 03/27/2006
VALUE: $ 154,576.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6058 QUARTZ AVE
ASSESSOR'S PARCEL NO.: 1802033400187
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence- Jasper Meadows 2nd add lot 140. SAME AS COM200S-00896
6057 Pebble Ct
Owner:
Address:
HAYDEN ENTERPRISES INC
2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-1081
# of Units: <:;j
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
License
92208
116329
39237
Expiration Date
07129/2007
10/0112006
03/25/2006
Phone
541.228-1081
541-686-4151
541-672-9510
503-363-2334
Contractor!rype
General
Electrical
Mechanical
~. Plumbing
\',.
I
R-3
U
VN
5,381
1,506
400
3
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
, Solar Setbacks:
20.10
5.80
6.20
19.70
19.00
rDEVELOpMiNi:iN~:u~riuN I
~'\'" ...,
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
35.40
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
!pUBLIC IMPRUVEMENTSI
Street
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains
Setback 5'
Curb and Gutter
Notes: Storm drainage piped to curb face 912/2005 CAS
I of 4
'-iii"
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01184
ISSUED: 09/27/2005
APPLIED: 08/30/2005
EXPIRES: 03127/2006
VALUE: $ 154,576.00
I Valuation Descriotion I
Description
Dwelllnes
Garaee
Type of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multip6er
$96.00
$25.00
Square Footage
or Bid Amount
1,506.00
400.00
Value
Date Calculated
Total Value of Project
$144,576.00
$10,000.00
$154,576.00
08/30/2005
08/30/2005
L.Fpp< p"W
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 8/30/05 1200500000000001265
-Mechanicallssuance Fee- $10.00 9/27/05 1200500000000001406
+ 10% Administrative Fee $120.54 9/27/05 1200500000000001406
+ 7% State Surcharge $84.38 9/27/05 1200500000000001406
2 Baths One or Two Family $254.00 9/27/05 1200500000000001406
Addressing Assignment $31.00 9/27/05 1200500000000001406
Appliance Not Listed $18.00 9/27/05 1200500000000001406
Building Permit $744.40 9/27/05 1200500000000001406
Curbcut Permit $80.00 9/27/05 1200500000000001406
Dryer Vent $6.00 9/27/05 1200500000000001406
Exhaust Hoods $9.00 9/27/05 1200500000000001406
Furnace - up to 100,000 btu $12.00 9/27/05 1200500000000001406
Gas Fireplace $15.00 9/27/05 1200500000000001406
Gas Outlets 1-4 $4.00 9/27/05 1200500000000001406
Plan Review Major - Planning $150.00 9/27/05 1200500000000001406
PW Disc - 2nd Permit (Street) $-30.00 9/27/05 1200500000000001406
Residence Wiring 1000 Sq Ft $106.00 9/27/05 1200500000000001406
Residence Wiring Ea AddU 500 $19.00 9/27/05 1200500000000001406
Sanitary Sewer - Improvement $400.47 9/27/05 1200500000000001406
Sanitary Sewer - Reimbursement $526.47 9/27/05 1200500000000001406
SDC MWMC Administration $10.00 9/27/05 1200500000000001406
SDC MWMC Improvement $865.31 9/27/05 1200500000000001406
SDC MWMC Reimbursement $82.03 9/27/05 1200500000000001406
SDC Sanitary/Storm Admin $116.21 9/27/05 1200500000000001406
SDC Transpo Admin $66.91 9/27/05 1200500000000001406
SDC Transpo Improvement $805.70 9/27/05 1200500000000001406
SDC Transpo Reimbursement $182.69 9/27/05 1200500000000001406
Sidewalk Permit $80.00 9/27/05 1200500000000001406
Storm Drainage Impervious Area $789.74 9/27/05 1200500000000001406
Vent Fan $18.00 9/27/05 1200500000000001406
WilIamalane Single Family $1,000.00 9/27105 1200500000000001406
Total Amount $6,676.85
2 of 4
i
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. CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2005-01184
ISSUED: 09/27/2005
APPLIED: 08/30/2005
EXPIRES: 03/27/2006
VALUE: $ 154,576.0Q
Status: Issued
225 Afllt Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
Public Works Review
09/0112005
09/0112005
09/0112005
I Plan Reviews ,
09/0112005 APP
09/2112005 APP
09/04/2005 APP
SKG
TAJ
CAS
Storm drainage piped to curb face
9/4/2005 CAS
Structural Review
09/01/2005
09/19/2005
APP DLM
To Request an inspection caD the 24 hour recording at 726-3769. AIl inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wiD be made the following
work day.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When aU electrical work Is complete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in Inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: PrIor to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Vnderfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
3 of 4
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.
. CITYOFSPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01184
ISSUED: 09/27/2005
APPLIED: 08/30/2005
EXPIRES: 03/2712006
VALUE: $ 154,576.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
UnderOoor Mechanical. Prior to insulation or decking and Including required testing.
UnderOoor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped If not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
By signature, I slDte and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon Is true and correct, and I further certifY that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certiIY that only contractors and employees who are in compliance with ORS 701.005 will be used
on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address Is readable from
the street, that the permit card is located at the front of the property, and the approved set of plans wID remain on the site
atal~.o.:z:. 4-:L7-oS-
Owner or Contractors Si~ure - Date
4 of 4
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CITY OF S&GFIELD SYS.!EMS DEVELOPMENeORKSHEET
JOURNAL OR JOB NUMBER: COM2005-01184
NAME OR COMPANY: Hayden Hnmes
LOCATION: 60589uartz
TAX LOT NUMBER: 1802033400187
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1906 LOT SIZE (SF):
I. STORM DRAINAGE
,
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x, COST PER S.F. CHARGE
I 2445.00 I $0.323 I = , $789.74 ,
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I f
I 0.00 I I $0.323 I 50% I =
DISCOUNT
$0.00
ITEM I TOTAL - STORM DRAINAGE SDC
5789.74
1070
2, SANITARY SEWER - nTY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
21 I
B.IMPROVEMENTCOST:
I NUMBER OF DFU's I x
21 . r $19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$25.07
= I
$926.94
3. TRANSPORTATION
A. REIMBURSEMENT COST:
, ADT TRIP RATE J x
I 9.57 I
B. IMPROVEMENT COST:
I ADT TRIP RATE I
I 9.57 I
I NUMBER OF UNITS I x I
I I I I
COST PER TRIP
$19.09
x 'NEW TRIP FACTORI
I 1.00
I NUMBER OF UNITS I x I
I I I I
= ,
COST PER TRJP
$84.19
$988.39
x INEW TRJP FACTOR)
I 1.00 I
x
ITEM 3 TOTAL - TRANSPORTATION SDC
5381
$789.74
$526.47
$400.47
$182.69
$805.70
r--
112
10
,0
U
0::
W-l
f-
tIJ
a
~
II
I
11091
I
1092
11093
1094
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's' x
I I ,
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I I I
ICOST PER FEU
, 582.03
ICOST PER FEU
I 5865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5 ADMINISTRATIVE FEE'
$957.34
$3,662.41
I SUBTOTAL x I ADM. FEE RATE 1=
$3.662.41 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$183.12
=
$82.03
=
$865.31
$0.00
510.00
11054
II
11055
11054
1056
:1
I
116.21 11079
566.91 11078
=, $3,845.53 I,
9/2/2005
TOTAL SDC CHARGES
Cheryl Slaymaker
PREPARED BY
DATE
. .
t
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALENT ~ DRAINAGE FDITURE UNITS 'I
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE N!lT ADDITIONAL FDITURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiWRESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
LTOILET, PRIVATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21 JI
*EDU (Equivalent Dwellinp; Unit) is a dischare... eQuivalent to a single family dwellinS!. unit (20 DRJ's) set at 167 Rallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED V AWE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGffiLE FOR ANNEXATION CREDIT'?
(Enter I fnr Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT'?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
$0.00 x $5.29
- ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
=
$0.00
1
i.ldl<uio,<:Il........ ."......... '''''"'''''l
(541) 726-3753
FAX (541) 726-3676
Notice to Permit Applicant
Soils stabilization required for subdivision sites
Name of Owner ~..(\ (~O.D Permit: ~5.\t~4
Address of Project: \Il{')~ CQQ"..V\1Ny
\)
Tax Map: \q,()~ Tax Lot: ro\~ Subdivision ~ \l..~
The building site at the above address is located on property that has soils prone to shrink-swell or
other potential movement. Excavations, placement of fiU materials and drainage for this site must
be done under the direct supervision of a properly licensed Professional Engineer or Architect to
verify the stability of the resulting building pad and the site.
The, owner, or the owner's qualified agent, is responsible to obtain the services of the appropriate
professional engineer or architect (design professional). The design professional shall provide
direction for the stabilization methods to be used for the building pad (and surrounding site, when
site stabilization is also necessary). The geotechnical report, which was prepared for this
subdivision, may be utilized to provide appropriate guidance for the methods of stabilization and
required compaction for the specific site.
The engineer or architect shall prepare a report to be submitted to the City stating how the soil
stabilization is being accomplished, including requirements not yet completed (if any). A signed
and stamped report from the engineer or architect must be received and aDoroved bv this office
before footinf! or foundation insDection aDoroval will be f!ranted bv the Citv Buildinf! Insvector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soil stabilization, including excavation, fill, soil compaction and drainage, as provided in the
geotechnical report for the subdivision. The stabilization will be accomplished under the
direction of a licensed professional engineer or architect as noted above.
Signature
Name
.~~-{j-
Date
1:..;;;z.7-o~
Affiliation to owner